Facilities and Organizations


Find the latest Medicare news for facilities and organizations as well as helpful information, tools and links to CMS resources.




Quality Improvement Organization (QIO) DenialsSkilled Nursing Facility Payment Bans or Denial of Payment for New AdmissionsObservation CareReporting Multiple Outpatient Visits that Occur the Same DayDate of Service ReportingThree-Day Prior Hospitalization Requirement for Skilled Nursing Facility (SNF) ServicesDate of Service ReportingInpatient Rehabilitation Facility (IRF) Compliance Review - ' 60 Percent Rule'Hospitals: Incorrect Maximum Payment for Sentinel Cerebral Protection SystemMedicare Coverage of Intensity Modulated Radiation Therapy (IMRT)Beneficiary and Family Centered Care Quality Improvement Organizations (QIO) Two-Midnight (2M<) Short Stay Review (SSR) DeterminationsCMS Resources for Skilled Nursing Facilities (SNF): Patient Driven Payment Model (PDPM)Part A Outpatient Date of Service Reporting and Split BillingExtension for Inpatient Prospective Payment System (IPPS) Wage Index Occupational Mix Survey SubmissionHospitals: Physician Time Studies During the COVID-19 PHERHC Productivity Standard ExceptionsHospitals: Physician Time Studies During the COVID-19 PHEInpatient PPS Outlier BillingInpatient Rehabilitation Facility (IRF) ResourcesHospitals: Physician Time Studies During the COVID-19 PHEInpatient PPS Outlier BillingHospital Low Volume AdjustmentRural Health Clinics (RHC) Billing Venipuncture with Incorrect Revenue CodesRural Health Clinics (RHCs) Reporting RequirementsRural Health Clinics (RHCs) Reporting Requirements - Frequently Asked Questions (FAQs)Diagnosis Related Group (DRG) 470 ModuleIntensity-Modulated Radiation Therapy ModuleESRD Billing for Acute Kidney Injury (AKI) ModuleSkilled Nursing Facility (SNF) Extended Care Services ModulePatient Discharge Status Codes and Hospital Transfers ModuleFederally Qualified Health Centers (FQHCs) - A to Z ModulePatient Discharge Status Codes and Hospital Transfers ModulePartial Hospitalization Programs (PHPs) Module340B Drug Program Reimbursement CalculatorLong Term Care Hospital (LTCH) Prospective Payment System (PPS) Interrupted Stay PolicyCracking Condition Code 44 Computer Based TrainingSkilled Nursing Facility (SNF) Basics Training ModulesRural Health Clinic (RHC) Overview ModuleCracking Condition Code 44 Computer Based TrainingCOVID-19: RHC and FQHC Lump Sum PaymentsCOVID-19: RHC and FQHC Lump Sum PaymentsDiagnosis-Related Group (DRG) 470 Dates of Service vs Dates of Procedure ReportingOffice of the Inspector General (OIG) Post-Acute Care Transfer (PACT) Policy Audit Questions and AnswersNew Editing Established for Federally Qualified Health Center and Rural Health ClinicsNew Editing Established for Federally Qualified Health Center and Rural Health ClinicsCounting Units for Therapy CodesSkilled Nursing Facility (SNF) Ancillary Services ModulePart A Inpatient Date of Service Reporting and Split BillingTop Five Errors Identified During Medicare Secondary Payer (MSP) Hospital AuditsLong-Term Care Hospitals Prospective Payment SystemSkilled Nursing Patient Driven Payment ModelEsophagitis, Gastroenteritis and Miscellaneous Digestive DisordersAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletAmbulance Fee Schedule and Medicare Transports CMS BookletFederally Qualified Health Centers: Retroactive Claims AdjustmentsUtilization of Lifetime Reserve Days ModuleIPPS Billing for Cost Outlier ModuleA/B Rebilling ModulePreventing Overlaps in SNF Consolidated Billing Part A Webinar: June 29, 2022

Last Updated: 02/24/2021